PCOS and nutritional approaches: Differences between lean and obese phenotype.

BMI Body composition Diet modification Obesity Polycystic ovary syndrome

Journal

Metabolism open
ISSN: 2589-9368
Titre abrégé: Metabol Open
Pays: England
ID NLM: 101767753

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 01 09 2021
accepted: 04 09 2021
entrez: 8 10 2021
pubmed: 9 10 2021
medline: 9 10 2021
Statut: epublish

Résumé

Polycystic Ovary Syndrome (PCOS) is an endocrine/metabolic disorder with an ever-increasing prevalence. It has various clinical characteristics; the cardinals are androgen excess, oligo-anovulatory infertility, polycystic ovaries, insulin resistance (IR), and cardiometabolic alterations. These disturbances are a consequence of PCOS's complex etiology. PCOS is mainly related to women with obesity; however, there are many PCOS lean patients too. Even though they share some aspects in their metabolic profiles, each group has individual differences in body composition and other parameters. Thus, in order to achieve successful therapeutic strategies, they should be tailored to these details. The authors reviewed PubMed's updated and related publications about body composition and nutritional strategies for PCOS lean and obese patients. As previous reports have determined, dietary patterns are essential in PCOS treatment. Several diets have been studied to control and improve IR, infertility, and cardiometabolic dysfunctions in PCOS. This review will explain the specific features in metabolic characterization and body composition among these patients. Finally, the diverse nutritional strategies used in women with PCOS will be analyzed depending on their lean or obese phenotype.

Identifiants

pubmed: 34622189
doi: 10.1016/j.metop.2021.100123
pii: S2589-9368(21)00047-5
pmc: PMC8479825
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100123

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

No conflict of interest has been declared by the authors.

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Auteurs

Luigi Barrea (L)

Dipartimento di Scienze Umanistiche, Università Telematica Pegaso, 80143, Napoli, Italy.
Cattedra Unesco "Educazione alla salute e allo sviluppo sostenibile", Federico II, Napoli, Italy.

Evelyn Frias-Toral (E)

Universidad Católica Santiago de Guayaquil, Av. Pdte. Carlos Julio Arosemena Tola, Guayaquil, 090615, Ecuador.

Ludovica Verde (L)

Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Italy.

Florencia Ceriani (F)

Escuela de Nutrición, Universidad de la República, Montevideo, Uruguay.

Gabriela Cucalón (G)

ESPOL Polytechnic University, Escuela Superior Politécnica del Litoral, ESPOL, Lifescience Faculty, Campus Gustavo Galindo Km. 30.5 Vía Perimetral, P.O. Box 09-01-5863, Guayaquil, Ecuador.

Eloisa Garcia-Velasquez (E)

Clinical Nutrition Service, Grupo Hospitalario Kennedy, Guayaquil, Ecuador.

Dino Moretti (D)

Hospital "Eva Perón", Avenida San Martín, 1645, G. Baigorria, Santa Fe, Argentina.

Silvia Savastano (S)

Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Italy.

Annamaria Colao (A)

Cattedra Unesco "Educazione alla salute e allo sviluppo sostenibile", Federico II, Napoli, Italy.
Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Italy.

Giovanna Muscogiuri (G)

Cattedra Unesco "Educazione alla salute e allo sviluppo sostenibile", Federico II, Napoli, Italy.
Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Italy.

Classifications MeSH